Please fill in the following application as completely as possible.

Name:

Phone Number:

Address:

School/Major:

Graduation Date:

Hometown:

Parent(s):

e-mail:

GPA:

What are your career goals?:

Year in School:

What is your greatest weakness?:

What is your greatest strength?:

What is your greatest accomplishment?:

Why do you feel you would do well in this internship?:

Are your authorized to work in the U.S.

NOYES

Other students you would recommend for this internship (please include phone numbers):

If selected, I feel that this internship is what I will choose to do this summer.